AFFIDAVIT PAGE 1 CAO CvPi 4-16x 07/01/2016 Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , Plaintiff, vs. , Defendant. Case No. AFFIDAVIT I, , certify: I am the Plaintiff Defendant in the above-entitled action. CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/printed Signature American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT PAGE 2 CAO CvPi 4-16x 07/01/2016 CERTIFICATE OF SERVICE I certify that on (date) I served a copy to: (name all parties in the case other than yourself) (Name) (Street or Post Office Address) (City, State, and Zip Code) By United States mail By personal delivery By fax (number) (Name) (Street or Post Office Address) (City, State, and Zip Code) By United States mail By personal delivery By fax (number) Typed/printed name Signature American LegalNet, Inc. www.FormsWorkFlow.com